Scalp folliculitis is an inflammatory condition that involves the hair follicles within the scalp. The disor is also identified as “Proprionibacterium folliculitis” or “acne necrotica miliaris.”
Small, very itchy pustules characterize scalp folliculitis on the scalp, often most difficult on the frontal hairline. There may be only a small number of lesions or they may be very numerous. They are difficult to leave alone due to itching. They often become a sore and crusted.
What Causes Scalp folliculitis?
The reason for scalp folliculitis is not clearly understood. It is normally recognized to be an inflammatory reaction to components of the hair follicle, essentially the micro-organisms. These include:
Bacteria (especially Cutibacterium acnes, but in severe cases, also
Yeasts (Malassezia species)
What is the treatment for scalp folliculitis?
Mites (Demodex folliculorum)
The scalp affected by folliculitis should be cleaned with a mild, normal shampoo as often as wanted. Antidandruff shampoos including antifungal agents such as ciclopirox or ketoconazole are sometimes helpful. Conditioner can be used if wanted.
The following medications may be beneficial for scalp folliculitis:
Oral isotretinoin – long-term low dose treatment may be required
What is acne necrotica?
Oral antibiotics, especially long-term tetracycline
Mild topical steroid lotions or creams
Topical antibiotics, e.g., fusidic acid gel, clindamycin solution, erythromycin solution
Acne necrotica is a more critical form of scalp folliculitis also identified as “acne frontalis” or”acne varioliformis.” In this condition larger follicular spots (papules) become inflamed then develop blackened crusts, finally leaving permanent pox-like scars. Acne necrotica may affect the face, scalp or other areas.
What is perifolliculitis capitis abscedens et suffodiens?
Perifolliculitis capitis abscedens et suffodiens is also known as “dissecting cellulitis” or folliculitis, or “perifolliculitis capitis.”
Perifolliculitis capitis abscedens et suffodiens is a rare and severe form of scalp folliculitis sometimes associated with acne conglobata, hidradenitis suppurativa and spinal arthritis (spondyloarthropathy). It most often affects black adult men but may rarely occur in white-skinned individuals, females, and children.
Large nodules and cysts accompany smaller follicular papules and pustules, from which purulent material can be expressed. Temporary hair loss over the lesions eventually results in permanent scarring and bald patches.
Perifolliculitis capitis abscedens et suffodiens tends to be invulnerable to treatment. The severity may be decreased with iinjectedsystemic steroids, dapsone, oral isotretinoin, antibiotics. Compression of fluctuant nodules has also been reported to be of benefit.
Scalp Follicles Treatment
To manage the bacterial contamination, a topical antibiotic, such as mupirocin or an oral antibiotic like methicillin, penicillin, dicloxacillin, or vancomycin may be designated. According to MayoClinic.com, Staphylococcus bacteria are very changeable adaptable to antibiotics, often requiring stronger and more toxic medications. Testing is simple to identify the bacteria causing the infection to choose the best c that will be most effective.
- Fusidic acid gel
- Steroid creams
- Erythromycin solution
Many experts suggest leveraging an antibacterial soap or shampoo for folliculitis on the scalp. A warm compress or washcloth over the impacted area will help soothe, alleviate the discomfort and drain the pustules. An over-the-counter antibiotic medicine can be employed to infected skin. To treat the itchy scalp, use an over-the-counter hydrocortisone cream or an oatmeal-based lotion. Experst also recommends a compress that encompasses a white vinegar solution of 1 -1/3 cups of warm water and one tbsp. Of white vinegar.
Keep combs and brushes should be sterilized after every use and should not be shared. If shaving is a must, Some experts recommend using an electric razor to shave the scalp rather of a blade and administer a soothing lotion afterward. It is imperative not to share towels or facecloths, and to wash well after each use. Hats and scarves should be washed after each wearing.
If a hair follicle becomes seriously infected, boils or carbuncles may develop. A boil is a painful, swollen red bump, filled with pus. A clump of boils is a carbuncle and causes an even deeper infection. To drain, the physician creates a small incision in the boil or carbuncle and allows the pus to drain. A sterile gauze cover allows drainage to continue.